Individual
TAMIKA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3863 GENTILLY BLVD, NEW ORLEANS, LA 70122-6140
(504) 657-0045
Mailing address
134 N BROAD ST, NEW ORLEANS, LA 70119-5506
(504) 657-0045
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4290
LA
Other
Enumeration date
08/03/2016
Last updated
01/22/2021
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